If you’re looking online for health insurance, there are lots of results that seem to offer good choices. But dishonest companies are literally counting on you being confused by all those choices. So, before you sign up and pay, take steps to know you’re getting exactly what the plan advertised. Otherwise, fake “coverage” can leave you exposed to substandard benefits and costly payments.
For example, according to the Federal Trade Commission, a Florida-based company, Simple Health Plans, LLC, allegedly tricked consumers into believing its plans offer comprehensive coverage and are compliant with Affordable Care Act (ACA) standards. The company allegedly lured people in through lead-generation sites, using logos of well-known health insurance providers to make itself look credible. Simple Health asked for personal information on the site, followed up with phone calls, and pitched what it said were affordable, comprehensive, ACA-qualified plans with low or no co-pays or deductibles.
But once consumers signed up — often at premiums as high as hundreds of dollars per month — the FTC says they did not get anywhere near the full coverage Simple Health promised, and the benefits were not ACA-qualified.
For more information, click here.
- Ask students if they or any of their friends and relatives have received sham health insurance plans calls. If so, how did they handle such calls?
- Help students understand that two best-known and legitimate sources of the government health insurance are Medicare and Medicaid.
- What are some ways to protect yourself against false health care plans?
- Why is it important to learn the difference between health insurance and medical insurance discount plans?
“I’ve been told a high deductible health plan (HDHP) is a good choice for my situation and that it might save me some money. Can you explain this to me.”
This Forbes article provides answers to the questions that many people–especially younger people–have about high deductible health insurance policies. At the beginning, the author, Christina LeMontagne, points out that high deductible policies are a great option for healthy people, but may not be right for everyone. She also describes what a high deductible health plan is, who can benefit from HDHPs, and how they can save you money.
For more information, click here.
You may want to use the information in this blog post and the original article to
- Reinforce what a high deductible health plan (HDHP) is.
- Stress the fact that while an HDHP may save you money, there are risk involved if you choose this type of policy.
- What are the advantages of an HDHP plan?
- What are the disadvantages of an HDHP plan?
- Under what circumstances would you choose an HDHP plan?
Certain provisions of the Affordable Care Act will probably affect your federal income tax return when you file this year. The law requires that you and each member of your family have qualifying health insurance coverage for each month of the year, qualify for an exemption from the coverage requirement, or make an individual shared responsibility payment when filing your federal income tax return.
Most taxpayers will simply check a box on the tax return to indicate that each member of their family had qualifying health coverage for the whole year. Qualifying health insurance includes coverage for most, but not all, types of health care coverage plans. If you bought coverage through the Health Insurance Marketplace, you should receive Form 1095A, Health Insurance Marketplace Statement from your Marketplace by early February.
For more information, Click Here.
- Ask students to search the Internet to gather more information about the new IRS requirements and the Affordable Care Act.
- What are provisions that might affect an individual and their families?
- What are the reporting requirements when you file your federal income tax return this year?
- How can you determine if you are eligible for an exemption?
- What should you do if you are expecting to receive 1095A and you don’t receive it by early February.
In September 2014, the Internal Revenue Service announced the availability of new You Tube Videos to help taxpayers get important information about the Affordable Care Act and tax return filing. These videos on IRS You Tube channel discuss the premium tax credit and the individual shared responsibility provision. These provisions of the Affordable Care Act will affect tax returns beginning with the 2014 filing year.
In the premium tax credit video, the IRS Commissioner explains how it can help make purchasing health care through the Health Insurance Marketplace more affordable for people with moderate incomes.
For additional information on the tax provisions of the Affordable Care Act go to
You may want to use the original article to discuss
- What are the criteria used to be exempt from the Individual Shared Responsibility provision?
- How and where can you obtain an exemption?
- Who is subject to the individual shared responsibility provision?
- What you need to do if you want to be sure you have minimum essential coverage or an exemption for 2014?
- What will you have to do if you don’t have or don’t maintain your health insurance coverage?
- If you don’t have health insurance coverage or qualify for an exemption, how and when must you make an Individual Shared Responsibility payment?
Health Insurance and the Patient Protection and Affordability Care Act of 2010 created state-based health insurance marketplace (also called insurance exchange) through which individuals can purchase health insurance coverage.
Open enrollment in the Health Insurance Marketplace ends on March 31, 2014. The next open enrollment period for 2015 coverage starts from November 15, 2014 and ends on February 15, 2015. There are several ways to sign up for Marketplace plans, but applying online is the quickest method to get coverage. You can buy a marketplace plan directly from an insurance company, with the help of a broker or an agent, or using an online service. If you can’t afford a health plan or can’t wait until coverage begins, you can get low-cost care at a Community Health Center near you.
For additional information about the Health Insurance Marketplaces go to https://www.healthcare.gov/what-is-the-health-insurance-marketplace.
- What are several methods of getting health insurance coverage through the Health Insurance Marketplaces?
- Can a Marketplace refuse the coverage or charge you more because you have an illness or a medical condition?
- How do you choose a health insurance plan that is right for you?
You may want to use the information in this blog post and the original source to discuss
- The 5 categories of Marketplace plans: Bronze, Silver, Gold, Platinum, and Catastrophic.
- How you may be able to get lower costs on deductibles, copayments, and coinsurance?
- How to apply and enroll in health coverage in the Marketplace?